Advanced Clinical Massage for Lower Back Pain with the Body Massage Shop - Webinar Reply

Hello, very nice to see you. Thank you for joining. Thank you for joining her today.

My name's Rachel- I'll tell you a bit about myself in a minute- and that one over there were the planters, Megan, Megan, with both directors of chingada webs massage down in Brighton and put to kick off. We just waited to hand over to Jamie because I think you might all know him, even though you don't know what so, and you like to thank you. She worth you. Hi, Jamie, hi, hi, everyone. Go shoot yellow people. That's great, I'm, yeah, hi.

Thank you everyone for joining. Yeah, let's just say yeah, my name is Jamie. Are on the little operations here at body massage shop. Thank you everyone for joining.

I think most of you seem to be us customers of body massage shot, and so thank you for being a customer. Thank you for supporting us and if you're new, hello, thank you for joining. If we can never do anything for you, just get in touch. We also working. Just email us at relaxer would be happy to help for them.

Yeah, thank you very much, miss ville to Jing for running this entirely free, no pressure webinar- hopefully something interesting for professionals and non-professionals, a massage for low back pain, and really looking forward to seeing what you're gonna say. So, yeah, hello everyone. Any questions just do get in touch. But thank you very much to all you guys at Jing and for running this. Hopefully we can make some good use of our time.

Great, Thank You, Jamie, and I know ya just checked out your website. It's great. You've got lots of a really good gear on there. I'll be looking at that myself, oh, yeah, yeah, so there's something for everyone.

We're still shipping out anything we can do. Do get in touch by them. Yeah, looking forward to what you guys are going to be say: fantastic, great.

So, yes, so some of you know us, some of you don't, so we'll tell you a little bit about Jing and then we'll talk a little bit- where I talk about the topic which is working with low back pain, and then what we'll do is we'll go around and we'll check in with all of you where you are. If it's a random like you're there for your own pain condition to need questions about what's going on for you or a few things around how you want to treat someone, Rachel and I can really customize this time together.

So Jing is an organization it's been going for close- not quite the twenty year mark, but close to twenty years, and we are dedicated to the treatment of chronic pain from a musculoskeletal perspective.

So we teach loads of different courses from beginners: courses on how to become a wonderful massage therapist- the best profession in the world- two very advanced courses on advanced anatomy and advanced pathology and everywhere in between.

And the philosophy that Rachel Knight really share is understanding, which I'm sure all of you share. It's an understanding pain is something that's very multi-dimensional. So, although from any some massage perspectives, they think about a sprain and a strain and the injury to the tissue and how it needs to be treated, and you know, that's kind of one perspective in one view, but we're a bit wider for our frameworks, a bit wider around that. So, for instance, a hamstring injury in a 22 year old athlete, it's gonna have a very different prognosis and treatment approach. Then somebody who- now we have loads of them, you know weekend warriors, people who've never run before and they're out running and it tears and they just like- have actually no idea about their body mechanics, how to use the body, how to repair and what to do and how to work with them.

So we take all of these into perspective when we're dealing with chronic pain and with today's topic, low back pain. We know that low back pain can come from a variety of sources and it can also last for a variety of time. And where Jing comes into that equation is we teach therapists how to be able to do those assessments, how to really understand the pathology, how to put together a long treatment approach. So the massage therapy isn't just a luxury, it's actually a therapy that's necessary for the recovery of pain.

So our practices are. We're both in individual practice as well as teaching, and we have opened and travelled the world as massage therapists. So Rachel and I both worked in New York for a long time California and have traveled around opening up practices and kind of know what it's like to be, you know, the new kid on the block or the person who's been around a long time. So we're really happy to share all that experience with you.

And I would love to say also for those of you haven't met its before, that we are always open to whatever questions you have and never to feel that any question is too obvious or too silly that you couldn't possibly ask it, because you know we'll find out that you don't actually know what you're talking about. Like it's the opposite of that, like the most obvious questions are so super welcomed, because if you have that question, everybody else does, so please feel free to ask us and we'll make this as interactive as possible.

Yeah, and I just wanted to add: I mean, I think, as Meg says, we've been teaching for a long time, but we've also had our own practices for a long time, and Meg and I do take the adage a teacher's job is to shorten the journey very seriously. So a lot of the things that we've found out in clinical practice- so all of those are in clinical practice. We pretty much all on the same thing, which is to help as many people as we can, as much as we can, and certainly that journey for me has been quite long and convoluted, trying to find the techniques that work and how to work best with different clinical conditions.

But what we like to do on Jing courses and Jing webinars like this one is to present everything that we've learned so over the last you know few decades of our practice and in a really simple format about how you can get your clients quickly and easily out of pain, and that's what we've based. I was trying to find a copy of it, but Kathy actually might be able to grab one off the shelf. Massage patience- yeah, I don't know. We'll check in with you guys in a minute, see where you're at, but this is what we.

We wrote a book for you well, five years ago now, which brought together a lot of experience, called muscle massage fusion, and because the the method that we use to treat chronic pain is pretty similar for all musculoskeletal conditions and we're going to be giving you some edited highlights of that today so you can look at our approach to treating low back pain.

So it would be great just to find out a bit about you guys, because we've got a nice little cozy group here online so we can make these zoom in are really targeted to your needs if we know exactly what you want. So we'll just go around Alem, mute you and, if you can, let us know who you are, where you're living- it's good. What you're not going sit, no way. Zooming in fry where you're zooming in from what your look, how your lockdown situation is, if you want to share that and how it is for you.

Obviously we're all going through different things that you want to share anything about. How have you been doing. That. That's always welcomed- and what your practice is, as I'm assuming, your massage therapist- but maybe there are the manual therapists there- so what your practice is usually and what you're doing in a moment- I know some of our community are offering online self-care- or whether you're still reaching out to your clients, or- and you're on a pause at the moments- are learning or or just resting. So all of those things are valid.

Let's see. I'm gonna take you first. I like that. You're right in the middle, so you seem like it. Look, we're going to unmute you. I can dumb a mute audio, right? Your hi, Alice. You want to tell about it? I am nice to meet, nice to meet young.

I'm Alice on say and I'm- and I'm Johnny from Derbyshire in the Peak District, for a love had no other world. She's a lovely pastor. Well, thankfully we've got wonderful walks, which is good for keeping the same. Yeah, yeah, and I'm just coming at this. I've always known about the jing method, but i've never actually taken the step and been on any of your courses. Partly, the distance is just, but I have my own practice here and I were usually three or four days a week with variety of clients mostly- mostly amateur athletes. I would say, yeah, and I'm coming from this and two methods, because I was stupidly doing too much gardening and I'm like, well, this has got to be the right place for me. Yeah, yeah, okay, brilliant, cool. And how's your lockdown situation? And you with family? Or well, I'm normally by myself, but fortunately, my son and his girlfriend were at home whilst we were, and so they're here too and he's just finishing his dissertation and still teaching and and I've got the dog and the cat and a garden and I'm, you know, keep pinching myself because I'm a lot luckier than a lot of people. I think that, yes, a thing, okay, thank you, okay, great, lovely, nice to meet you. And yeah, do feel free to ask questions. We've got the chat bar at the side, so while we're presenting any questions we have, thank you very much. Thank you, okay, if we got next. Sharon, hi, how you doing? Nice to see you. Yes, it's my first time to zoom. A win, big win, big win. It's very different for me, but it's okay, I'm getting there. I'm not used to the Jing method before, but I do work a lot on massage. I've been doing Bognor Regis, 5k Cohen, pre-imposed runners, so I've been doing that a lot. I asked my forte and my family and then that's it really.

Yeah, but I've not used. I've not used any of the ding methods, so I'm kind of just looking to lure bandits. See, but beautiful, so you sound like you're local. Then if you've worked at bhagam bhag, no Regis, why are you living? Only the Buckner? That's great. One of our very dear therapists and teachers, Maryanne, lives. That lives in Padma. She has been involved in Jing for about 20 years, so we feel a big love for bug man just because of that. Yeah, my little, my little guy, I've got five year old. She's adopted and have her beautiful pass across. The parents also lived in Bob. Yeah, it's very nice, isn't it? Appreciating where we live. I appreciate anybody. That's right. What does everywhere? Yeah, great, Thank You Sharon and welcome. So, Sean, a great name. How you doing? I'm good. Thank you very much. My name's I think of I am Shoshana, but everyone knows me as Shoei.

My business name is actually Shoshana. It's the only time I use my given name. Good opportunity to use my given name because it I don't think there's anyone else practicing in the UK and Shoshanna, I trained 30 years ago or I qualified 30 years ago. At that time, if you were going down the kind of mass heart route, it was through beauty therapy. It was five days a week. It was long, longer hours. I was taught by a physio to do massage and you know where, as we had to do art, we had to do a lot of, lot of other different things. So I class myself more holistic. My beauty therapist very much about the way people feel and their experience, and very much about the inside of people and how they feel when they leave me.

So I really connected to what meg was saying about treating pain, because isn't just about the pain going away, it's about how they've been feeling, dealing with that pain every single day, yeah, and to be able to make them feel better or to give them some coping strategies. It's a great profession to be M. That's really why I wanted to come and do this online course and thank you very, very much for offering us the opportunity to do it. I would like to find out about your strategies that you use in treating low back pain and wolves, though for the last year I've been struggling with those sacroiliac from exercise, so I've had lots of Nik you Asian, I've had some traditional maths. I've had some recently. I've been having sports massage, which has been working. It's been helping me find out quite a lot about my own. Anybody actually have lots of regular treatments and I'm getting this. Sacroiliac issues so, and I think it's quite a tricky area to treat the lower back, typically its kind of joint related, but that's because of the Mayo toolkit. I would like to add more tomato pet to treat that. That what I consider to be. If it's muscular, it's much easier to treat as a massage therapist than if it's a related injury.

Yeah, I'm in the northwest South Manchester lockdown is, I don't know, very strange. Yeah, I've got. I work in my gorgeous garden studio so I can actually see my workplace used to store the toilet roll of the massive constancies of food. All right, beautiful, Thank You. Lovely. Forgive me if I'm saying your name, Amira, my vaguely new, near that correct pronounced nation. Same thing, the difficult em. You can call me crusty shorts if it's easier. No, I want to.

I want to call you what you want to be called, not about. Yeah, okay, so I'm a beauty therapist. I trained ten years ago and then mobile, so I go to people's houses. I do nails that you face shows, massage, tanning, but the most ideal says massage and nails, and massage is my favorite. I really enjoy it. I do deep tissue, I do the normal Swedish massage, hot lava shell massage and yeah, and they saw your email and I was very surprised that you're offering actually does for free, which is great, yeah, okay, great, beautiful.

Well, I should say, before we forget, we're doing loads of stuff for free, Rachel and I feel very committed to the massage community, not only Jing, but like everyone, and so we're we'll set, we'll put a bunch of stuff on here, but there are webinars that are happening Monday, Wednesday and Friday. That all for free at 12 o'clock and just keeping it connect. And, oh, you thought every week, yeah, every Monday and Friday. Yeah, this seminar today is just for you guys, and I've been connected with the body massage shop around low back pain. But, yeah, Monday, Wednesday and Friday, we're doing a lot of free stuff and there's other things as well that you can connect with which will talk to you about online donation or for payment. So, yeah, there's lots of ways to stand somewhere to see connected and educated. I'm Katie. I don't know we can't see you, but I don't know. If you want, can do you have a mic, you can just try to unmute here and mute audio. Katie, go once, twice, three times a lady, okay.

Okay, if you want to type to us, you can, all right, so let's talk a little bit about the subject matter.

So, specifically, low back pain- and you're right, I mean, I think it's an interesting thing to look at. First of all, we know it's really common, so it's the number one reason that people don't go to work, although things are changing. But low back pain is the number one reason that people cite for not going to work, which is also quite fascinating, and it's something that can come from a variety of reasons. So most people have something we call a nonspecific low back pain. So, although the scary bits of things like can the low back pain coming from herniated discs? You know what is sciatica, is an SI joint dysfunction, all of those things kind of come up into our heads around why people might have low back pain, but mostly it is actually muscular-skeletal and specifically certain muscles that we're gonna share with you.

So we're gonna really treat from a holistic perspective the whole person when we do things like our consultation and also taking them through range of motion testing. So a few questions about that, ask us. But when you're doing your consultation, you want to be asking questions around injuries, surgeries, specific, specific life events that are happening from a physical standpoint. But we also take into consideration sort of life events as well. So has lockdown being difficult? You know? Are people locked out with the people they didn't mean to be living with? You know, all these things are going to contribute to people's pain.

So in in this situation we now have a myriad of reasons that people are even that, that the emotional consideration, that emotional experience is going to visit physically become part, part of their experience. And what Rachel and I will both say over and over again is: it's not necessary to get rid of that. People like, oh, I don't really have it, just in my head. If it's in your head, it's in your body, like that is a real thing and the nervous system will communicate to the brain that the body is in pain. So just to kind of have a sense that we never, ever discount any reason that somebody is in pain and we can always treat it. It's just about that toolbox being broad enough.

Yeah, can everybody see my screen share? Did that work? Yep, perfect, yeah, okay, so just want to take you through what we're going to be talking about today.

So we're going to introduce you to the Jing method, which we remember by the mnemonic h FM AST or hf mast, which I'll explain a little bit in a minute. We're going to talk to you about how you can actually treat your clients and look at reducing low back pain within one to six weekly sessions. So in essence, that's what the Jing method is. We ask our clients to come once a week for up to six weeks and we expect to see a reduction in pain around about week three, and once we've seen that, we then knew: come on two once between them, once every fortnight and an eventually a maintenance session and probably once a month or whatever works at them timewise. So we'll talk a bit about that: how you can reduce client pain quickly and easily. We're then going to show you a little bit of our online low back pain course. This is we teach a two day CPD course in there treating low back pain with the Jing method, and it's very comprehensive online course. So you not get only get or the anatomy, you get the pathology, you get stretching, you get after pressure points, you get all the ways that we're going to talk to you about treating low back pain.

So you get the videos and you also get handouts and you get quiz questions and we've got a big sale on the courses on at the moment. So if you do want a place to go for further study, without a doubt you're gonna get practical tips in this, this zoomin, asking you to take forward and use with your clients.

But if you do want to a place to go and have further study, then we'll show you the online course and how you can access that and and, of course, all the way through- actually this time- questions. So if you have got questions, just type them into the box and we'll do our best to answer it as we go along.

Alright, so the Jing method: what is this mysterious Jing method? And I said, I think Maggs always said: Megan, I've been therapist for twenty, thirty years now and I think magaz always said that we we haven't made anything up.

So all the techniques that we use in Jing have usually been sort of pioneered by other people before us. But I think the what we have done is to bring lots of different techniques together in a format that works quickly and easily for your client.

So if you've been around massage for a while, as it sounds like quite a few of you have, and you probably go on different courses- and you go in a course and the teacher says this is an amazing technique and this is going to cure everybody with neck and shoulder pain, and you come out and it doesn't really work the same in the clinic as it does in the class. Or the teachers spend a lot of time talking about science but I only taught you a couple of techniques. Or it works on mrs Jones, but it doesn't work on mr Smith, you know.

And so what I found- Clinic and what make farms to a similar extent as well, independently, and her clinic- was that if we actually combined a lot of techniques together in one session, we are more likely to get a maximresults.

So what we've done in Jing is we we show you very specifically how to put these techniques together and we remember them by the mnemonic hf masks. So do you want to talk people through that, meg yep.

So when we come up against any pathology, for instance low back pain, we want to instinctively and based on evidence of two things that usually come out with the same answer: are we gonna use hot or cold. So if somebody, so I can unmute everybody and people can shout out.

And so if somebody is coming in with an acute condition, right, how? What's the timeframe from acute? Anybody got any answers on that. Is it earlier, is it late? What's it acute? How long? What's the acute phase of a pathology? Are they early, super early, right, so that's like 24 to 36 hours, maybe 72, right, so that's like what we call the acute phase.

So that's something that's usually split, flared up. Right, there's inflammation, it's hot, that kind of thing.

So, instinctively and from a research perspective, cold is going to be a much better analgesic. What is doing the fibers? The researcher always keeps changing. We know that it's taking the pain right. The the cool, the cooling process is really good for both the mind down the body. If it's an acute face, we're not gonna put heat on it. That just feels wrong, I'm not gonna do that.

But if it's a chronic condition, so if it's something that's gone from 72 hours up to 10 or 20 years, he is really good for the musculoskeletal structure. So the fosters gonna respond to the heat, as is the muscles. So we got to make a choice there how we're gonna use Heat.

So one of you mentioned lava shells- great in lockdown. You can also use a hot water bottle. You can be using steamy heat. We want to be some wet. Heat is a much better tool than a dry heat, so if you have access to that, it could be a steamy towel. So that's gonna really I'm sure. Maybe you know even the website, hands maybe has some heating implements to sell. So you want to get heat to this body. Yeah, if you put heat on the body, everything else that you do afterwards will have a much greater effect and would be much easier to do as well.

And I should say to you that there are two things that Jing is looking for. So, although massage in and of itself might be a beautiful experience- so you might have candles and incense and you know all these beautiful things, which is why I'm a massage therapist, cuz I like all these beautiful things- but what makes us different at Jing is that we're looking for an outcome, and this isn't really something that was taught through sort of the traditional Swedish massage idea. It was about the experience. So we want two things: we either want them to have a decrease in pain or an increase of range of motion, or both of those things. So all of these techniques are looking for an outcome rather than just the experience of feeling good.

So that's why we use these techniques, so hot or cold, whichever is more appropriate given the pain condition- chronic or acute- then we're going to use facial techniques. So fascial techniques is something that Rachel and I were lucky enough to come into very quickly in our career, so we've both been using it for about 20 years, but it's a bit more of something that's become a bit more fashionable in the last ten years in the UK.

So there are two schools of thought here. There's John Barnes kind of non-direct fascial work, and then there's also adderall. So you've got kind of lots of different methods within the fascial technique scope. But we tend to use things like, if it's a, a very acute or something that's going in and out of acute to chronic. It's a lot of tenderness. We'd use something called a cross handed stretch, which I'm sure will be coming along in our slide. So we're going to use some fashion there because we're not using any oil, so we do it first.

Is anyone using any facial techniques at the moment? Anything about them? Who want to add? Yeah, who was that? That was me. I knew your voice already already already, Sharon, so tell us what you're doing.

Well, I recently did a scar there, a peak scar management course using my dear old techniques. Perfect, I can literally only last year I I got got that used my attention. So a lot of my clients, mainly the ones that I'm working on with the post, running mat marathon, they have a lot of old injuries to sort of sort of help them more. So, yeah, not have a chance to use a lot of her because my, my, I just haven't had the chance to you because a lot of them there's getting people into that mindset and it's a very different technique. Yeah, I mean, I think one of the things if you study with jingo- their online are hands-on, is that and we will redefine you on your notion of what massage is, yeah, your countenance notion. So you know massage is not just Swedish massage with oil, it's the whole host of things, it's fashion workers, trigger point word, it's active pressure, it's stretching and you know it's very, very broad in our world.

So everything that is done with soft tissue that you know, if you manipulate joins, yes, that's more chiropractic, osteopathic and but most chronic pain, was they all chronic pain conditions and actually respond much better to a multitude of soft tissue technique. So so how will blow your definition of what you're out of the war?

Well, em, which is part of kind of the core techniques of Jing, is trigger point therapy. Has anybody done any bit of trigger point therapy? And somebody mentioned sports massage, and some of these techniques have kind of in the UK stood underneath thatbrella of sports technique.

So trigger point therapy and stretching in particular, and what we'd like to say and what we really put out there in the world is that these techniques can be used for anyone around these two outcomes, but it has to do with how you apply the technique. So although the technique of trigger point therapy was put together by Janet Revell in the 50s and really solidified into manuals of instruction, how they were then applied through sports massage and physiotherapy tends to be a bit brutal. So the kind of classic application of a trigger point is: hold the trigger point for up to two minutes andm if they scream, you say yay thing is like, let's figure out where the source of the pain might be coming from.

So it could be a trigger point within a muscle, but we want to work within a pain free range. So find the trigger point, treat it, find out if it's referring to seeing the pain that they're complaining with and we treat it differently at Jing we keep them out of that pain so we don't let them go above a seven. So that's a subjective, subjective scale.

And then we repeat those treatments up to three times within a session and then we're saying to people: it's gonna take three sessions to move you out of your chronic pain stage, which is perhaps a bit more like how a chiropractor or physio might work. But this resonates so well with our practice because then we can really allow people to get a promised outcome rather than trying to be a one-hit wonder. And sometimes this massage therapy- people are asking too much within a session. So we're trying to help massage therapists understand what's a progression of a treatment.

So trigger point is one of the techniques that we use, treating all the muscles around the area. So for low back pain, the muscles that we would be looking for- and you can throw some in if you like, but effectively there would be quadratus lumborerector spinae, so as glute Maximus, glute minimus, glute medius, and secondarily we would be looking at the hamstrings. So you're looking at six or seven muscles within a treatment and looking for the primary trigger point. We might look at some of them in the first treatment and we might not. We might choose depending on how the client is presenting specifically with what pain that we might know one muscle might be more indicated than another. The a in the HF mast is acupressure points. So both meg and I were trained in Eastern methods of massage as well, which I think has been a great additionalbrella to our, to our practice, really in what we teach our students.

So we often say that Jing is a fusion of eastern and western techniques. So there are also outer pressure points that can be relevant to the pain condition. And if you do by the book, I spend the whole chapter exploring the commonalities between meridians at pressure points and trigger points and western partial pressure lines and Western methods. So sometimes we find that actually if we have like a broad map of the body, then we can do a lot, a lot more with it.

So acupressure points are great to put in. There S stands for stretches, so some of you might know some forms of stretches already or be using them in your. In your clinics we always say you should always stretch after you've treated the muscles for trigger points. Because if you stretch before treating the muscle for trigger points then you're not going to be lengthening the muscle - it's called capacity.

So trigger points are like small contraction knots in muscles and they you can only really get rid of trigger points through very precise manual, manual pressure.

So we always put stretching towards the end of the treatment or certainly after you've treated the muscle of trigger points. And we teach about three different forms of stretching in Jing. So we teach static stretching, which is where you take the limb into a position right and hold, use me for up to about 15 seconds. We teach something called PNF which is very similar to a meaty. Some of you might have heard of that, where you take the muscle to its end of range and then you contract against resistance and then you take it a little bit further. And we also do a technique called active isolated stretching, which is less known in the UK but involves kind of repetitions and of a stretch, so usually doing 10 to 12 repetitions and just lengthen the stretch for a little bit at the end. And the T has been very central, always to to the Ginga prosier which is teaching the client self-care suggestions, and because this has been always very central to our approach. We're now finding that a lot of our therapists now who are unable to treat clients in person, as we all are, and now much more easily able to offer client self-care suggestions online because they're all already well versed in the psychology and lots of different ways of teaching self-care. So that could include self trigger point stretching, you know, specific rehab or strengthening exercises, or teaching meditation or simple breathing exercises.

So self-care is a very big part of the Jing approach and, more than anything, it helps your client to feel empowered about their ability to get themselves out of pain. And so, although it feels like a lot, we do teach you how to put all of these things into one 50-minute clinical treatment.

So what we teach is up to half an hour for a full consultation the first time you see somebody. Thereafter you'll be doing a 50 minute treatment, 50, 55 minute treatment, including all of these areas, and in our courses we teach you specifically what to do. So we give you- we don't just say I'll put it all that all in- go and figure out how to do it yourself. We say you do this, then you do this, then you do this. These are the ingredients. This is a recipe for a really great cake and when you know how to treat pain using method, then you can start to play around with the case.

So sometimes you might need to play around the ingredients of the cake. Maybe you need to do more facial techniques and less trigger point and, depending on the condition, but all the ingredients are there to get people out pain in the shortest possible time. Anybody get any questions on that before we sounding sound implausible? Okay, so if we start off with that, with the hate hydrotherapy, I always want to say it was about lining, grease lighting.

When they say it's had dramatic hydrotherapy, so directoral, is anybody using hot or cold in their treatments at the moment? Who had lava showers? Anybody else? When I type it all you can say can't use, not that many of us. Oh, now, boom, BAM, boom, never had that, but it sounds amazing. Yeah, I mean, if you're not using heat, it does really enhance your treatment for very little effort from yourself, really.

So it makes that the simplest way. You could just use a hot water bottle wrapped in a in a nice tile towel, and there are electric heating pads as well. You can use a lot. We teach hot stones at a Jing and love Gina. Therapists actually use heats through the stones, so you can either at the beginning of the treatment and put some of the large hot stones over the area of pain, or we actually teach you to massage with the stones as well.

So it stands as a very lovely way of applying hot or cold and you would always do this at the beginning of the treatment. Right f stands for fashio, then the HF must approach and I talked a bit about that moon right. So this image is always slightly disturbing when I see I know it's not client's leg, don't worry. And and it's clearly, you know, from 19 background. But these are all TM layers of fashion. So you know from the epidermis all the way down to the covering around the bone.

And what is also a nice picture of fashion, if you think about an orange. If you don't, you know if you peel an orange, all the white bits around is like the connective tissue of the body. And what we found, as is that if the layers of fossa are released, that can make a huge difference on letting the muscle have space. The two things are working in conjunction and in fact they're the same thing. So what are techniques to be. Move technique picks red. You want to say big. I feel like that's good, that's good. There we go cross on stretch. We knew that was there somewhere, didn't? Yeah? So this is something that we find is incredibly challenging, maybe sharing. You did this on your scar tissue class. Oh, you didn't. It's a real classic technique. It's called an indirect stretch, and one of the things that makes this the most challenging thing for some massage therapist is you almost do nothing and you do a load right, so it's a really crazy thing.

So if we've been trained, you've gas and lots of effleurage and petrissage and that kind of thing. We're now saying to you: okay, the best thing you could do for low back pain is put one hand, then put the other hand and what we call cross hand, a position there's three to five inches apart then takes 60 to 90 seconds to sink down through the layers of fashio. That feels like forever because you're standing still. All these voices are going in your head where you're thinking clients thinking what the heck am i doing in the pain?

But actually everybody loves it, because everybody needs to slow down and we breathe together, and then what you do is you put on a slight stretch, so engage in the fashion and then hold it into a bit of a. There's a bit of a lock position and then the fashion is something we called unwinding. So it starts to release and you start to help the but body find a way to have more space. And, as you can see this picture right here, maybe you come in, you can't. This is a side-lying position for the quadratus lumborso.

The key, well, is the number one muscle indicated low back pain. I'm sure my picture of that's coming soon, but it's attachment point is the 12th rib and the iliac crap. Yes, so you can all feel that on yourselves if you take your hands and open up them- sort of thumb and forefinger- and come around and wrap it in to feel the top bit of your ribcage and stick your thumbs up and behind. That is where your quadratus lumborum attaches and then it goes down through the transverse processes to the iliac crest, they kind of Mickey Mouse ears of your hip bones.

So this cross headed stretch here is, one hand is on the iliac crest and one hand is on the ribcage. Now you're trying to create space, motivate people now, particularly because we're sitting all the time, are gonna have a lot of low back pain just because, okay, and that's another facial technique as well. So there's lots of different facial techniques that you can use.

So if you you have got some in your toolbox, you should definitely use them after you've applied heat and before you go in with any other work. So we just pull in a couple of facial techniques out here. Skin rolling is also another technique that you could use where you're literally here just picking up the skin and superficial fascia underneath. Again, we've got no oil in this technique, so we've got a big wash of skin and fashio and then we're just kind of rolling the thumbs forward and then kind of feeding in with the fingers.

So again, it's a really good way of releasing one layer of superficial fascia off any layers underneath that it might have become stuck and uglies too. So and there's another one that might be a bit more familiar to you if you've done the, the ralphing techniques. So there's another method of myofascial release, again remembers no oil in it technique. So in this we're spending time to sink down through different layers of skin and fashio and then we're slowly, slowly moving through the tissue. It's really important, this one. We spend a lot of time in Jing our body making sure that you've got the right body mechanics and to do this, because good massage always comes from the feet and the legs and the belly, not from the home, from the arms.

So we would get you into something called the forward Tai Chi stance, which is like short lunge really. So those are a few fashion techniques. Then onto one of my favorite things in Jing.

So the M in HF masts it stands for treating the muscles, and we treat the muscles in two ways. First, broadly make nice effleurage techniques- if you know how to work your forearms- again, that's something that we show you- you could come in with that- and then you treat the muscles specifically by treating them for trigger point.

So there's anybody doing any trigger point work at the moment. Yeah, I do some. Yeah, you do some, yeah, great, I mean, I'd say, without a doubt, learning effective trigger point work was the first thing that elevated my practice from just being able to kind of relieve symptoms and be relaxing, so actually really helping to fix people.

So I would say that doing very precise trigger point work and all the muscles around the joint is definitely a key to releasing people from chronic pain and and the way we were. I'll show you some pictures of trigger points in a minute.

And, by the way we work with trigger points in Jing is that we we strip or we can press the muscle fibers, so usually strip with sort of hand over hand the muscles and then when we find a trigger point.

So a trigger point is a small contraction, not in a muscle, and it may well recreate the pain that your client has come in with. And we'll show you a few, to the point of low back pain in a minute. When you find that spot you will then stay on it for eight to twelve seconds of static pressure and you do not need to make your pressure harder. So this is a big misconception about trigger points. People think they have to go in with their elbow, or are they have to press really hard? You only need a big, loud pressure that you needed to find the trigger point in the first place. You treat it for eight to twelve seconds and you communicate with your client and you wait until they tell you if the pain has changed.

So often the pain starts to decrease. Sometimes it increases a bit and then decreases, but we're waiting for a change and then if that is a trigger point that's causing the clients is related to clients pain condition, then you treat that for the point two to three times per treatment. You concentrate your whole treatment on the, on the primary trigger points, and then again we're really looking at this once, six weekly treatments. You're not going to try it 20-year low back pain problem in one session, but you've got a good chance of fixing it in three, four sessions.

So once a week for up to six weeks, let's see. You've got some pictures there. You go: mag, that's your favorite, the comfort quadratus lumbordo. You want to talk about that?

Yeah, so look at this muscle, okay, so, as I just described, well, yeah, the little X is that mark the spot. Or where Janet Ravel told us that trigger points are very likely to happen because, as a compression of this muscle when we're in a sitting position, the red bit. So what are the red bits? Anybody want to take a hit at fat. What do you think red bits are? Yeah, like sciatic, like pain, right, this is where people are feeling the pain.

So, in particular, if it's a QL, if it's a charge, that the pain is origin originating from the quadratus lumbormuscle, you can have a very specific pain pattern which is over the hip and a little bit lower on the lateral and also wrapping around the abdomen, which is kind of also a little counterintuitive. People think, oh, it's a back muscle, most certainly back, but also just recognize that this is not referring locally.

Okay, so this is really a mind switch. If somebody is having trigger points in the quadratus lumborum, they will feel the pain lower down in the SI joint or around the head.

When I started out as massage therapy I always went the place that somebody felt pain. It hurts their. I'm just gonna massage there a lot and sometimes it may be difference. But what trigger point therapy for me was change everything. It gave me a map to know where the origin of so ql might be cute. I can often be misdiagnosed as SI joint dysfunction because the pain is right there in the circle right around the SI joint.

What's our next muscle where we got whirling? No other mulling circle of doom there.

So the other muscles that are indicated, for instance, are like: correct your spine. I so the muscle that goes from all the pain pattern, as does the so s. So all of these muscles would direct information to why somebody's peein they are. So this is this kind of really a bit of a mind explosion if you've always- muscles- just referred to a specific place of pain, ie locally.

So, Tristana, you brought up sciatica, or sciatic like pain. This is something that people will often come in and think i have sciatica. Right, we've all heard that like people get, and that's what gps fall it all the time.

But it's a terrible term because sciatica is only a symptom. It is defined as pain radiating down the leg. It doesn't let us know why it's happening though. For instance, somebody can have sciatica from a hernia, yes, right. Or they can happen from trip points in the QL or medius, or they can have some trigger points in the snow, as no, it's just kind of having a sense how to do that and what this, what our course, how to palpate them and how to specifically treat them for the pain that the client is coming in with.

So that picture there. Can you all see that now? Yeah, that side lying way we teach you a few different ways to treat quadratus lumborum, but side-lying is quite a nice way to get into the queue.

So the QL you find between the skeleton and the last rib, the 12th rib, so we would come into it. So if, in their side-lying position, you can actually kind of come down, yeah, and you should be able to feel it like a hard Ridge. So it's kind of you have to go through the abdominals and then what we generally do is we might orientate our fingers up to the 12th rib because we lot trigger points around there. We might orientate our fingers down to the hip and we're searching for those trigger points that feel hard or tender and that the client reports that that's giving them a similar sensation to their back pain. So us. So, as Meg was saying, we talked about the slower, so we did Wofford, I guess. So, as she was saying, the the front of the body when we reach back. Well, I think you can see quite clearly there from the trigger points that we've done, that's the glutes, trigger points in the.

So us, on the front of the body. So that last picture shows you places where the trigger points might be found, not only cause pain into the only, cause, pay down around the groin and around this area, but also into the low back.

The other interesting thing is that once pains been set up in an area, then that area in itself develops trigger points, and that is really the reason we treat all the muscles around the joint because you might start off with trigger points and you're so ass. That refers around to the back- and then your prop lumborum gets trigger points in it as well. So in the Jing method will teach you precisely how to treat trigger points and all the muscles around the joint. There's another one: the gluteals. Trigger points in there can cause pain around the sacroiliac joint, into the top of the buttocks, around the coccyx. So all of those things might be misdiagnosed as joint pain where they're actually coming from and issues in the tissues, in the soft tissue, which, without a doubt, is the muscle, is a massage surface design.

So there's a few different techniques. This is taken from the low back pain course. All of these pictures, so the one on the top left actually shows you a prone way to treat trigger points in the QL. So my fingers there on the top left, my thumbs- that's actually in the area of the QL around the 12th year, so I'm sort of up and around there- and the picture on the bottom left, so this one is showing you a supine treatment of the. So us, absolutely, yeah, so yeah, gwaan mek.

So what we're doing there, let's all find our own. So ours is now super fun. No space here, but you can feel and palpate your like professional touches. Okay, don't find your fingers and find the edges of your bone, right of the things that stick out at your hips, no matter how much belly you got, and there's a little bit more medial. Go, isn't like, towards your belly button a little bit and then press in as you exhale and do a little bit, not as like a stomach crunch but more of like a flexion, like it's softens. As long as you're on the, you're not on your bladder, you'll be fine, and then you push down and then into those bones. Rach, can you show your skeleton again? Yeah, I'm so, you're really going in there and that see that like curve of the fossa there. That's the iliacus, okay, and that feeds into the psoas.

Then come up a bit to your navel and go underneath. You're very strong, I know stiff, super strong- rectus abdominus- great, you're gonna go underneath there and that's just so, as the psoas is really long and it has the same attachment points as a quadratus lumbordoes in the back, so that's why they're both very involved over this name. Pain conditions- this is one of those things that when people come to study with Jing, this is sort of what. Can i really go in that deep? Can I really work somebody's abdomen that way? Can I really release, if so, eyes? Absolutely.

This does not need to stay in the remit of an osteopath, because what you want to do is be talking through somebody understanding how to softening and get get in there. What you have to really learn is just confidence with your anatomy, which doesn't always feel so fine in the beginning because, like people are looking at anatomy books and anatomy books and Anatomy because bored, but when you know that you can help somebody, it makes all the difference.

So one of the things here with this- so as image, if you need a little orientation- is the head is to the right and the legs are to the pager. One of the best things you can do also is ask your client to have their hip and their knee inflection. So it does that softening of the body that you all just felt. Yeah, and then that picture on the bottom right is one way that we show you how to treat the glute medius and the glute Maximus.

So generally, those muscles are quite big and thick and we don't really want to be entering our thumbs going in with it. So we do teach you to use your forearm and your elbow in Jing, but in a very soft and gentle way. So when you use your elbow, don't go in like this with a clenched fist, but start off with what we call a broad torso, leaning with a whole of your forearm and then with a floppy wrist. Just gradually bring your elbow to a point and that will help you to sink down three different layers and you can start to develop the same sensitivity in your elbow as you can in your fingers and your thumbs. So then you can start to sense trigger points with your elbow and then you can wait and hold and treat them accordingly.

All right, acupressure points is the next up in the, the Jing method. So with her in the, a chess master approach muscles and now we've got a fir- acupressure points. So the use of acupressure points from an Eastern point of view helps to stimulate Qi, the energy in the body. But also from a Western point of view there's a lot of correspondences between active pressure points and places where you can access deeper levels of the kasha, and that's an idea that I explore in the book.

So here's a couple of examples of some acupressure points that are helpful for low back pain. That top picture on the left is showing you how you would treat so that's the sacrum burn if you look at the middle picture. So if you look at the middle picture of the picture, the bottom left, I'm on the table in what we call a kneeling high cheese dance and with both of my thumb's- like this I'm actually working fake. These are the holes in a sacrin fact. I've got my sky. So these holes here, fancy name for them is the sacral foramina. Well, they're also acupressure points, blood of 31, rather 32 by the 33, and blood first floor, and you can feel them on your body. And if you get your little thumbs in there, wait and hold for about three to five breaths, we say, with acupuncture points, and then that can be really helpful in releasing low back pain.

You'll also notice, from an anatomical point of view, there's lots of nerves coming out of there. So and it's interesting how the east and west earth kind of correspond there. So that's like a pressure points and we will teach you a lot of right of pressure points for low back pain.

And then the s in the HF mass approach is stretching. So all the muscles that you've been, you've treated the points you were then treat with whatever stretching techniques you know and again on the online course, will teach you all three different methods of stretch. Now [Laughter] again, you could do the ones in the same gym bag. Yeah, let's see the ones, the pictures.

So the first one we're gonna do for low back pain is flexing the spine. Super easy. First of all, you gotta breathe into that belly, breathe into it. You're gonna lift it up, so make sure that you're really kind of elongating your spine and because we're stretching the spine and not a head, we need to curl. So curve over, take your chin to your chest and then slowly go down as you engage your rectus abdominis. It's the same time you want to go really down like a divers pose, and you can see that in the upper left hand picture on your screen. You're coming down, try to keep your palms together and go all the way down. Any point in what you feel like it's tight, stop, take a breath, lift it up and then exhale down. Ok, so coming all the way down and then slowing slowly, 20 back. Bonus points for anybody who can tell me what muscle we're stretching there. Anybody know the spine: a perfect, great weight. So it's a rector spinae right.

So it's the long muscle that has two, two jobs. It has the job of keeping the spine erect and then also extension of the spine. It tends to be locked long for people who have low back pain because they're kind of chaotic often, but the muscle is still really like in a lockdown Bassem, so we need to stretch it to get some space into it.

The next muscle we're going to stretch is the quadratus lumborum. So this one I'd love to do a little singing out. I'm a little too far. So you, standing on one side, reach Theni that there's crossed her legs. So if you put one foot in front of the other and then you're going over to one side effects it might help. This way, the camera going over to one side.

What you have to be mindful of is keeping the hip, yeah, as a fixed position as the arm goes over, and that we don't ever collapse too much on the left. So you're just opening up. What can you see in that picture that she's using as an aide? I'm not well, right, perfect, great. The wall, the way you're taking your clients through it. You want to give them some structure, because otherwise what they tend to do, which means that they don't a scratch. Well, they start to do more kind of erector spinae stuff. And then the last one we're going to do there is a little bit of a twist, right. That's moving side to side. This comes back to me and Rachel's Foundation and Eastern practice, a little Qigong Tai Chi. So I appreciate that there's a lot in it, right, but it's really really simple and we need to sort of also be teaching these things to our clients and now is the best time.

So you know the Jing method: Rachel and I have been doing it for years and loads of people are doing and really getting results. So it's just grabbing those bits and pieces and figuring out how does it all go together? What I want to also say is: don't throw away your favorite effleurage, you know. Don't throw away your favorite moves that feel like they're gonna give your claims their experience. And you know, as Sharon said, some of this stuff is a new way of working and your clients also feel a bit like, wow, this is new. But because the results are so much better, you know, they're just a bit like: oh, this is what I've been always waiting for.

So questions, thoughts about that, is that different than you thought similar. They still have questions around the back pain, helpful, unhelpful, tell us my friends, tell us, should we underneath each one through? Can I ask a question? So basically, you mentioned the tiger points, which feel they do. They actually feel like the notes. Mm-hmm, if you have a note they are harder. Yeah, when you massage that, the tiger bones, people will feel the pain.

Okay, first of all, I'd love that you're calling them tight, your point that I'm gonna always call them that some going forward Tiger point, trigger points, your TR IgG like - you're the tiger and they are. You can palpate them. But the big thing about that, which is super good that you asked about that, if they can be as small, it's like the top of a pin, like really tiny, like a pea, or they can be as big as a grapefruit.

So in the piriformis muscle, for instance, loads of people, you can feel them a really palpate like a golf ball. But what you don't want to do, which is also different thing, is you don't want to rely only on your palpation skills, for what we teach is the approach that you're going through the length of the muscle, looking at those X's, thinking is there one thing for client feedback? So in your consultation they will describe their pain like ie, the sciatica running down the legs. You said you're the client. What I'm gonna be doing is looking for the specific trigger point that is causing that pain. If I come across it and you feel that sciatica- yeh, excitement we've recreated- and then you hold it for 8 to 12 seconds, will you always feel it? Probably not. In my 25 years of doing this method I probably feel 80% of what the client feels, but not a hundred. So I'm still always continually having that dialogue with someone.

The difference between a knot and a trigger point is the referred pain pattern. So if it just feels naughty but it's not referring to where Jenna jebel told us is referred to, then we wouldn't categorize it as a trigger point, we would characterize it as an. So that's a bit different.

Great question, I feel you, Alice. Alice got a question. Go ahead, I'm muting. You hold on Oscar in a minute. There you go, go. Oh, she's did a dog. Other questions around that for me on a bit. It's gone a bit cloudy now. What did you say? The difference between a lot and a trigger point was, or a tiger point, you know and loving that. Okay, remember those maps that Rachel showed up with the red stuff around. Yeah, very specific to muscles.

So this is so and you could spend your whole life studying them, which is what we pretty much do. It Jing, teach them, teach them, teaching me, teach them. But you don't have to memorize them. You can look at them, a book or you can do the Jing method- and it will tell you what muscles are indicated for what pain patterns. But every muscle has a specific referred pain pattern when you find the knot in the muscle, so both the trigger point and a knot will feel the same to the practitioner. So it feels like Nadi congested tissue. It was a bit lockdown when you depress on it and your palpate it. If it refers along those red lines trigger point, if it doesn't, and it's just sort of locally and stuck there and it doesn't go anywhere, it's just a knot in the muscle. That's generally speaking. Obviously, sometimes it breaks the rules, but that's pretty much. Yeah, and I think massage therapists sometimes- I know I always used to get a bit obsessed with knots- so you can end up massaging away. It's something that isn't actually at all today with the client pain condition.

So I think a really good example is between everybody's shoulder blades. It always feels a bit naughty right and you spend ages massaging away there and well, actually, trigger points and the scalenes which were in the net can refer between the shoulder blades. So actually, like two or three minutes work on the scalenes could release the pain between your clients shoulder blades rather than 20 minutes. The petrissage which has been unlucky your thumbs there. I think you know if you're going to take something away from this workshop. We've done right now is to figure out and get engaged with the psoas in the QL. The quadratus lumborthose muscles are really indicated in people's low back pain and it doesn't really matter what where the sciatic has come from, because those muscles will obsess around the area I'm, so they're causing the pain.

So that's something that our experience has showed us, and you see my screen because I just yeah, yeah.

So if you were interested in studying for the, the online courses, I think they usually retail it to 50, but 75 pounds are 175. Yeah, that's right, and so you can access them immediately once you buy them and basically every.

So if you're interested in low back pain, we also offer ones on neck and shoulder and lots of other pain conditions, and each one has about ten lessons in it.

So those first format lessons are like great fundamentals around stance and draping and HF mask, which we've just talked to you about.

You don't get lessons in anatomy and then you get lessons in the actual techniques. So I'll just show you one.

So for each, for each lesson, you get a video and you also get a PDF handout. So I'll just show you the handout that you would get with this with all the techniques on.

So you get a nice handout the talks you through step by step all the different techniques use.

So this is all based on the Jing method, HF mask approach. So you see all the fascial techniques. You get all the trigger point techniques, so all the different muscles that we treat, and your the glutes, their piriformis, then the acupressure points we also teach you, so ass and then wretches as well. So a few stretches and a few acupressure points to finish off.

But, most importantly, the thing that most people are most excited about on their online courses is the videos that you get.

So if you're anything like me when you go on a massage course, you want to be up close and personal with the lecturers. So I was like to have my nose right up to wherever the tank-like, the camera angles enable you to do.

That is mag, different hair and pregnant. Yeah, you were sound so somber. I just widened it so you can see there, Rachel, your sound. Do you have any sound? Oh sorry, I don't know how to share the sound under. Okay, I don't know how to share the side and the picture. There's a bit of literally just please. Yeah, I was playing on my phone.

We're the other part of it, which I feel like is a big part of what you guys all want to learn is understanding the difference between the different pathologies. So understanding the difference between something like herniated disk and how it's treating her needed disk first is something like para forma syndrome.

The course will really take you through all of that, and it's about eight, 20 hours of video and time and you have two years to work through it.

So that's happening and you can play with it and it can also be a resource as you continue, though those courses are there.

There's also the noontime webinars that we're doing. Well, you can you hear that notes. Yeah, down here, it better just leave it and then, and also we're doing a massage conference on Friday.

So, if you have, if you all wanted to get involved in the conference. That's happening from 10:00 to 3:00 and that's also by donation and we can send you information around all of that.

So I hope that it was helpful today. Can you ask your question now?

Oh, hang on. Oh, me, today I have to tell you. Have over there, sorry. Yeah, well, Paulo, jeez, that was bad timing on that. Mine, mine, mine was a similar question and it was the difference between me and trigger points, pressure points and just define. I was a little muddied. When I'm practicing sometimes I actually don't define well. Acupressure points are a whole other game.

So acupressure points are the two- no, the China- from the Chinese meridians, and they are measured based on the size and the width of the person's thumb. So acupressure points themselves have their own map of the body and I think where regional- and I really differ from a lot of voices that are out there- what we're saying is massage fusion is possible. So I think what we've seen a lot of in the massage world is like: this is the one method that works, and what we're saying is: if you're well educated about it, you can use all these different modalities to get a better outcome.

So the trigger point is a Western approach which is looking at those muscles, find the trigger points and treating them.

For the referred pain patterns, the Eastern acupressure points, is there specific places that are measured by the film worth of the person. So, for instance, you might all know large intestine 4, or you know colon floor, which is between the first finger and the thumb. You go right in between. This is a downward energy point. Get taught for from migraine pain and you know clearing. That's always in the same place. Where is the trigger point to the quadratus lumboryou? Have to go the whole length of the muscle and look for the points in there.

So it is a bit you know. I think they are each one of those, each one of those methodologies you could spend a lifetime learning. I mean certainly acupressure. Right, it's like a couple lifetimes, the ambassador and supposedly only have this one, but I probably had a couple before but a couple coming.

But what I want to say is like there is no need to be Precious about it as long as we're respectful. So a Jing will say like you can't just steal a tiny bit of acupressure and think you're inactive, but you can bring it into your full treatment to make a difference. Thank you, yeah, thank you.

Well, thank you everybody for showing up and being interested and engaged, and if you have any questions, you can email support at jing massage comm. And then please, please, please, come to those webinars Monday, Wednesday and Friday. Oh that this Friday there's a conference instead and we get between 100 and 300 massage therapists tuning in every lunchtime.

So it's really good for you to be able to talk to each other, find out what's going on in people's practice. People are sharing loads of ideas.

There's also the Jing hub, which is a Facebook group that, if you find it, it's called the Jing hub. You can get on that and it's a real. It's like a private group for massage therapists to share ideas without feeling like they're being watched.

But we will send a follow-up email with the online courses. If you're interested- and I mean also if you're feeling ambitious and you really want to train with those, we are actually offering our year-long course. So if you're interested in that cool Meg cuz she's on the end of the map and the phone number is two, seven, three, six, two, eight, nine, four, two.

So if you're interested in studying which ingot or just give, yeah, we really have to talk to you about what works best: you time, money and distance wise, and it's great to be contacting some of you. May not have been able to make it, Jeanne, physically, so this has been a beautiful way of reaching out.

Really. Thank you to Jamie for working with us on this. Thanks so much, Jamie. Thanks very much. I take a take, I take care. They say: stay hopeful.